Long term prognosis of Scheuermann's disease: The association with fragility fracture - The MINOS cohort

Gaudé, Marine; Chapurlat, Roland; Pialat, Jean‐Baptiste; Szulc, Paweł

doi:10.1016/j.bone.2018.09.016

Cited by 6 publications

(4 citation statements)

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“…The prevalence of Scheuermann's disease in elderly Swedish men is 6.5%. This should be compared with the prevalence reported in the literature ranging between 0.4% and 25.0% (1)(2)(3)11). The lowest prevalence (3) has been reported in young individuals, thereby hypothetically missing individuals who develop the disease later in life.…”

Section: Discussionmentioning

confidence: 90%

“…A twin study that reported a prevalence of 2.8% used self-reported data on diagnosis ( 6 ), thereby probably missing patients without symptoms ( 11 ). Radiographic studies usually report higher prevalence ( 2 ), in one as high as 25% ( 1 ). However, results from radiographic studies may also be discussed.…”

Section: Discussionmentioning

confidence: 99%

“…Scheuermann's disease is reported with a prevalence between 0.4% and 25.0% (1)(2)(3). The disease becomes usually apparent in puberty (4), when a hyperkyphosis develops in the thoracic spine, with or without a compensatory hyperlordosis in the lumbar spine (5).…”

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confidence: 99%

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In old men Scheuermann’s disease is not associated with neck or back pain: a Swedish cohort study

Jönsson,

Damm,

Hofvander

et al. 2023

ActaO

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Background and purpose: Scheuermann’s disease is characterized by kyphosis and frequently mild back pain. As the level of kyphosis may progress over time, also the level of pain may increase. We evaluated the prevalence of Scheuermann’s disease, and their pain, in Swedish elderly men.Patients and methods: The Osteoporotic Fractures in Men (MrOS) Study Sweden (n = 3,014) is a population-based prospective observational study of community-living men aged 69–81 years. At baseline, participants answered a questionnaire including history of neck/back pain during the preceding year and characteristics of any pain (severity, sciatica, and neurological deficits). Lateral thoracic/lumbar spine radiographs were taken of 1,453 men. We included the 1,417 men with readable radiographs. Scheuermann’s disease was defined as 3 or more consecutive vertebrae with > 5° wedging with no other explanation for the deformity.Results: 92 of the 1,417 men (6.5%, 95% confidence interval 5.3–7.9) had Scheuermann’s disease. 31% of men with and 31% without Scheuermann’s disease reported neck pain (P = 0.90) and 51% with and 55% without the disease reported back pain (P = 0.4). Among men with Scheuermann’s disease and back pain, none reported severe pain, 57% moderate, and 43% mild, compared with 7%, 50%, and 44% in those without Scheuermann’s disease (P = 0.2). In those with Scheuermann’s disease 63% reported no sciatica, 15% sciatica without neurological deficits, and 22% sciatica with neurological deficits, compared with 56%, 16%, and 28% in those without the disease (P = 0.6).Conclusion: The prevalence of Scheuermann’s disease in elderly Swedish men is between 5.3% and 7.9%. The condition seems at this age not to be associated with neck or back pain.

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Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

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In old men Scheuermann’s disease is not associated with neck or back pain: a Swedish cohort study

Jönsson,

Damm,

Hofvander

et al. 2023

ActaO

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“…Por lo tanto, se podría pensar que en la enfermedad de Scheuermann habría un mayor riesgo de fracturas por fragilidad, sin embargo, los estudios no muestran claros resultados. [35]…”

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Scheuermann kyphosis debuts in young adolescents and it is defined as a fixed hyperkyphosis >40º Cobb, with associated anterior wedging of vertebral endplates of >5º in three or more adjacent vertebrae. It is thought to be caused by mechanical stress on structurally deficitary vertebral endplates. For its diagnosis, clinical history and plain radiographs are used, but also MRI when there is neurological affection. Treatment depends on the severity of the curve: those <60º can be treated orthopedically with Milwaukee bracing in combination with rehabilitation treatment (stretching or muscle strengthening) and postural hygiene. If >70º, surgical treatment is indicated using a posterior-only approach, as it reduces de apparition of complications when compared with anterior and combined approach. Vertebral osteotomies will be made depending on the DAR. We will use pedicular screws and bars, and transverse hooks to end instrumentation, as we attach distally the SSV and proximally the first kyphotic vertebra, to avoid revision surgery. Among the complications (14%) we find surgical site infection (up to 10%), neurological injury (8%), or pulmonary complications derived from anterior approach (20%). Habrá que hacer, por tanto, un balance global del paciente y de su equilibrio sagital para garantizar un resultado óptimo.

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Scheuermann-Krankheit

Moore¹,

Bauknecht²

2023

Diagnostic Imaging: Pädiatrische Neuroradiologie

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Long term prognosis of Scheuermann's disease: The association with fragility fracture - The MINOS cohort

Cited by 6 publications

References 43 publications

In old men Scheuermann’s disease is not associated with neck or back pain: a Swedish cohort study

In old men Scheuermann’s disease is not associated with neck or back pain: a Swedish cohort study

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Scheuermann-Krankheit

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